Brian P Wah, LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

0121-000669 Issued in VA

Practice address

443 Carlisle Dr Ste B
Herndon, VA 20170-5623

Phone

(703) 867-6323

NPI assigned

May 11, 2012

Last updated

May 26, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1336694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337990400000",
    "number": "1265791131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13227 PLEASANTVIEW LN",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220333015",
            "telephone_number": "703-867-6323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "443 CARLISLE DR STE B",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201705623",
            "telephone_number": "703-867-6323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAH",
        "first_name": "BRIAN",
        "middle_name": "P",
        "name_prefix": "Mr.",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-11",
        "last_updated": "2012-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "VA",
            "license": "0121-000669",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MD",
            "license": "U01956",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Acupuncturist in Herndon, VA
• Providers in Herndon, VA by specialty
• Acupuncturist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.